Organization
PAVLOVICH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER GRANT (OFFICE MANAGER)
(206) 935-1855
Entity
Organization
Contact information
Practice address
4150 CALIFORNIA AVE SW, SEATTLE, WA 98116-4102
(206) 935-1855
(206) 937-3996
Mailing address
4150 CALIFORNIA AVE SW, SEATTLE, WA 98116-4102
(206) 935-1855
(206) 937-3996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60188633
WA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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